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B mental illness shows moral weakness c

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b.mental illness shows moral weakness.c.intergenerational conflict is common.d.the mind, body, and spirit are merged.e.food choices influence one’s health.ANS:A, B, DPhysical symptoms are seen as more acceptable in cultural groups in which interdependence andharmony of the group are emphasized. Mental illness is often perceived as reflecting a failure ofthe entire family. In groups in which mental illness is seen as a moral weakness and both theindividual and family are stigmatized, somatization of mental distress is better accepted. Ingroups in which mind, body, and spirit are holistically perceived, somatization of psychologicaldistress is common. Somatization and food are not commonly related. Intergenerational conflicthas not been noted as a risk factor for somatization.PTS:1DIF:Cognitive Level: Understand (Comprehension)REF:Pages 5-10, 11TOP:Nursing Process: AssessmentMSC:Client Needs: Psychosocial Integrity
Chapter 06: Legal and Ethical ConsiderationsHalter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: AClinical Approach, 8th EditionMULTIPLE CHOICE1.Which action by a psychiatric nurse best applies the ethical principle of autonomy?a.Exploring alternative solutions with the patient, who then makes a choice.b.Suggesting that two patients who were fighting be restricted to the unit.c.Intervening when a self-mutilating patient attempts to harm self.d.Staying with a patient demonstrating a high level of anxiety.ANS:AAutonomy is the right to self-determination, that is, to make one’s own decisions. By exploringalternatives with the patient, the patient is better equipped to make an informed, autonomousdecision. The distracters demonstrate beneficence, fidelity, and justice.PTS:1DIF:Cognitive Level: Apply (Application)REF:Pages 6-3, 4TOP:Nursing Process: EvaluationMSC:Client Needs: Safe, Effective Care Environment2.A nurse finds a psychiatric advance directive in the medical record of a patient currentlyexperiencing psychosis. The directive was executed during a period when the patient was stableand competent. The nurse shoulda.review the directive with the patient to ensure it is current.b.ensure that the directive is respected in treatment planning.c.consider the directive only if there is a cardiac or respiratory arrest.d.encourage the patient to revise the directive in light of the current health problem.ANS:BThe nurse has an obligation to honor the right to self-determination. An advanced psychiatricdirective supports that goal. Since the patient is currently psychotic, the terms of the directivenow apply.PTS:1DIF:Cognitive Level: Apply (Application)REF:Page 6-16TOP:Nursing Process: ImplementationMSC:Client Needs: Safe, Effective Care Environment3.Two hospitalized patients fight whenever they are together. During a team meeting, anurse asserts that safety is of paramount importance, so treatment plans should call for bothpatients to be secluded to keep them from injuring each other. This assertiona.reinforces the autonomy of the two patients.

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